Projects per year
Abstract
Objective: To examine whether daytime wetting and bedwetting (urinary incontinence: UI) in childhood and adolescence are associated with psychosocial problems in adolescence.
Method: We used data from the Avon Longitudinal Study of Parents and Children to examine the association between trajectories of UI from 4–9 years and self-reported psychosocial problems in adolescence (13-14 years) including depressive symptoms, peer victimization, poor self-image and school experiences (negative perception of school and teachers, problems with peer relationships). Sample sizes ranged from 5,162 (perception of teachers) to 5,887 (self-image). We also examined associations between self-reported UI at 14 years and psychosocial problems.
Results: Relative to normative development, adolescents who experienced delayed development of bladder control had poorer self-image (standardized mean difference= 0.18 [95% CI= 0.04, 0.32]), more negative perceptions of school (0.18 [0.02, 0.34]) and more problems with peer relationships at school (0.25 [0.10, 0.40]). Persistent wetting (bedwetting with daytime wetting) in childhood was associated with increased problems with peer relationships in adolescence (0.19 [0.03, 0.34]). The strongest associations between adolescent UI and psychosocial problems were found for daytime wetting (reference= no UI at 14 years): depressive symptoms (OR= 3.04 [95% CI: 1.91-4.84]), peer victimization (2.14 [1.48-3.10]), poor self-image (t=-8.49, p<0.001) and problems with peer relationships (t=-4.69, p<0.001).
Conclusions: Children with delayed development of bladder control and persistent wetting have increased psychosocial problems in adolescence. Adolescents with UI reported a range of psychosocial problems and clinicians should be aware that they might require support from psychological services.
Original language | English |
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Pages (from-to) | 649-658 |
Number of pages | 10 |
Journal | European Child and Adolescent Psychiatry |
Volume | 26 |
Issue number | 6 |
Early online date | 10 Dec 2016 |
DOIs | |
Publication status | Published - Jun 2017 |
Keywords
- Psychosocial problems
- adolescence
- urinary incontinence
- cohort study
- ALSPAC
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Dive into the research topics of 'Effects of urinary incontinence on psychosocial outcomes in adolescence'. Together they form a unique fingerprint.Projects
- 1 Finished
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Increasing understanding of risk factors and outcomes associated with incontinence in childhood and adolescence
Cramer, H. A., Emond, A. M., Heron, J. E., Horwood, J., Tilling, K. M., Wright, A. & Joinson, C. J.
1/05/14 → 28/02/17
Project: Research